Improving local clinical governance

Effective clinical governance contributes to the safety and quality of patient care.

In November, we co-produced Effective clinical governance for the medical profession, a revised clinical governance handbook for organisations that employ, contract or oversee the practice of doctors in the UK. The handbook outlines the role that boards and governing bodies should play in governance for doctors, and how this can contribute to high-quality patient care. It gives clear advice about clinical governance processes involving doctors, including annual appraisals, managing concerns and pre-employment checks.

We worked with eight other organisations across the UK, including regulators and improvement bodies, to update the guide so that it’s relevant to the variety of settings in which a doctor might work. Changes in the revised handbook address Sir Keith Pearson’s recommendation, in his 2017 report Taking revalidation forward, that the handbook should reflect learning and system developments from the first five years of revalidation.

Since its launch, the handbook has been met with positive feedback, including from a member of the Department of Health and Social Care, who said: ‘the handbook will certainly be a very helpful tool, providing guidance to organisations so they may strengthen and develop governance arrangements for their revalidation programmes.’ 

Throughout 2019, our employee liaison advisers are meeting with responsible officers to help embed the handbook within local systems and processes.